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Organization
RONOEL PENALVER MDPA
Active
Organization
RONOEL PENALVER MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONOEL PENALVER MD (MD/OWNER)
(954) 852-5485
Entity
Organization
Contact information
Practice address
10081 PINES BLVD STE B, PEMBROKE PNES, FL 33024-6171
(954) 251-1175
(954) 842-3332
Mailing address
4581 WESTON RD STE 381, WESTON, FL 33331-3141
(954) 251-1175
(954) 842-3332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106009400
—
FL
Enumeration date
03/17/2022
Last updated
11/22/2022
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